Ipsilateral femoral neck and shaft fracture in children: a report of two cases and a literature review
- Author(s)
- Kwang Soon Song; Kirti Ramnani; Chul Hyun Cho; Ki Cheor Bae; Kyung Jae Lee; Eun Seok Son
- Keimyung Author(s)
- Song, Kwang Soon; Bae, Ki Cheor; Cho, Chul Hyun; Lee, Kyung Jae; Son, Eun Seok
- Department
- Dept. of Orthopedic Surgery (정형외과학)
- Journal Title
- Journal of Orthopaedics and Traumatology
- Issued Date
- 2013
- Volume
- 14
- Issue
- 2
- Keyword
- Femoral neck fracture; Ipsilateral femoral shaft fracture; Children
- Abstract
- Concomitant ipsilateral fractures of the neck
and shaft of the femur in children are rare. The most recent
report in this context found a total of only nine reported
cases (\12 years of age) following a search of the indexed
English literature. These injuries occur in children due to
high-velocity trauma, and there is no generally accepted
method of treatment. We report three additional cases from
the literature and two cases of our own. In our cases, one
had a residual 10 varus deformity at the subtrochanteric
level in the femur, but this did not affect hip function.
Another patient exhibited a limp at final follow-up due to
leg length discrepancy, and peroneal nerve palsy at the
time of injury. We advocate operative stabilization of the
femoral shaft fracture first to reduce the risk of further
displacement and simplify the subsequent reduction of the
femoral neck. The series shows that these rare injuries have
a poor prognosis, with high rates of incidence of avascular
necrosis, coxa vara, and leg length discrepancy.
- Authorize & License
-
- Files in This Item:
-
Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.